I realize the Musk/Trump Administration is attempting to turn the United States into a fascist regime while simultaneously burning the federal government to the ground and pushing the economy into a global recession, but hey, you gotta take positive news where you can find it.

With that in mind, via Connect for Health Colorado:

‘Biggest Enrollment Period Ever’: Connect for Health Colorado Releases its Annual Report on Open Enrollment 

Denver, Colo.– Connect for Health Colorado, the state’s official health insurance marketplace, released its annual open enrollment report today. This year’s By The Numbers report includes new data and information about the record-breaking open enrollment period for plan year 2025, which enrolled 296,449 people in health insurance through Connect for Health Colorado and Colorado Connect, Connect for Health Colorado’s public benefit corporation. 

 

I wrote about this issue a few days ago as part of an overview of the various Biden-era ACA policies which the Musk/Trump regime is reversing:

  • CMS proposes a policy that would add sex-trait modification to the list of items and services that may not be covered as essential health benefits beginning in plan year 2026.

In other words, they're throwing transgender folks under the bus, which is hardly surprising but is still appalling; I'll have a separate writeup about this soon. It doesn't mean that insurance carriers can't cover gender-affirming services, but it does mean those services can't have APTC subsidies applied towards them if they're included in the policy.

As promised, I'm posting a separate entry focusing on it. Fortunately, Lil Kalish has already done a much deeper dive over at Huffington Post which saves me most of the trouble:

After a concerning 2-month delay, the Centers for Medicare & Medicaid Services (CMS) has finally published an update to the official Medicaid/CHIP enrollment data:

November 2024 Key Findings

Medicaid and CHIP Enrollment

  • In November 2024, 79.0 million individuals were enrolled in Medicaid and CHIP.
    • 71.8 million individuals were enrolled in Medicaid, and 7.3 million individuals were enrolled in CHIP.
    • 41.5 million adults were enrolled in Medicaid, and there were 37.5 million Medicaid child and CHIP enrollees.

Medicaid and CHIP Applications Received

The Centers for Medicare & Medicaid Services just published updated enrollment data for Medicare, adding both December 2024 to the data archive.

This follows prior updates of October & November 2024 Medicare enrollment data, which suggests that the Musk/Trump Admin will continue to post updated enrollment data, at least for the time being.

Whether the data posted since January 20, 2025 is accurate or not, I can't say for certain, but at least they're updating it...and I don't see anything in the December update which leaps out at me as being an obvious red flag.

As of this writing, the same can't be said for the monthly Medicaid/CHIP enrollment reports, which are usually updated the same day as the Medicare reports, but which have remained stuck on October 2024 since before Trump was inaugurated in January.

In any event, according to the latest report, as of December 2024:

This was actually announced a few weeks ago, but I was knee-deep in my Congressional District-level Enrollment Breakout Pie Chart project so I didn't get around to posting about it until now.

Via the Musk/Trump Admin's Centers for Medicare & Medicaid Services (CMS):

Today, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule to address the troubling amount of improper enrollments impacting Affordable Care Act (ACA) Health Insurance Marketplaces across the country. CMS’ 2025 Marketplace Integrity and Affordability Proposed Rule includes proposals that take critical and necessary steps to protect people from being enrolled in Marketplace coverage without their knowledge or consent, promote stable and affordable health insurance markets, and ensure taxpayer dollars fund financial assistance only for the people the ACA set out to support.

From the Musk/Trump Administration's Health & Human Services (HHS) Dept:

Washington, D.C. — March 27, 2025 — Today, the U.S. Department of Health and Human Services (HHS) announced a dramatic restructuring in accordance with President Trump's Executive Order, “Implementing the President’s ‘Department of Government Efficiency’ Workforce Optimization Initiative.”

The restructuring will address this and serve multiple goals without impacting critical services. First, it will save taxpayers $1.8 billion per year through a reduction in workforce of about 10,000 full-time employees who are part of this most recent transformation. When combined with HHS’ other efforts, including early retirement and Fork in the Road, the restructuring results in a total downsizing from 82,000 to 62,000 full-time employees.

That's 20,000 people, or 24% of the HHS Dept's total workforce who are losing their jobs, many of whom are in departments which are currently understaffed.

 

But actually, he thought as he re-adjusted the Ministry of Plenty’s figures, it was not even forgery. It was merely the substitution of one piece of nonsense for another. Most of the material that you were dealing with had no connexion with anything in the real world, not even the kind of connexion that is contained in a direct lie. Statistics were just as much a fantasy in their original version as in their rectified version. A great deal of the time you were expected to make them up out of your head.

For example, the Ministry of Plenty’s forecast had estimated the output of boots for the quarter at 145 million pairs. The actual output was given as sixty-two millions. Winston, however, in rewriting the forecast, marked the figure down to fifty-seven millions, so as to allow for the usual claim that the quota had been overfulfilled. In any case, sixty-two millions was no nearer the truth than fifty-seven millions, or than 145 millions.

Originally posted 3/07/25

Over the past couple of months I've compiled a master spreadsheet breaking out enrollment in ACA plans (Qualified Health Plans & Basic Health Plans), Medicaid/CHIP coverage (both traditional & via ACA expansion) and Medicare (both Fee-for-Services & Advantage) at the Congressional District levels.

With the pending dire threat to several of these programs (primarily Medicaid & the ACA) from the House Republican Budget Proposal which recently passed, I'm going a step further and am generating pie charts which visualize just how much of every Congressional District's total population is at risk of losing healthcare coverage.

USE THE DROP-DOWN MENU ABOVE TO FIND YOUR STATE & DISTRICT.

A couple of weeks ago I expressed concern that the Musk/Trump Admin was several weeks late with publishing the latest monthly enrollment reports for Medicare, Medicaid & the Children's Health Insurance Program (CHIP).

Given that these reports have been posted on or around the first of the month for the past several years (including during the 1st Trump Admin), and especially given how much historic medical, heatlhcare & other types of data & information Musk/Trump have been furiously purging from federal government websites & data archives in their first month or so in power, this is an extremely understandable concern.

On January 19th, the day before the Musk/Trump Regime took office, I posted the following:

DON'T GET ME WRONG: I'm not saying that everything posted by HHS or CMS under the Trump 2.0 Administration will be bullshit. My guess is the vast majority of it will probably be reasonably accurate, at least for the first few months...if only because it will take awhile for whatever sycophants/grifters he puts in charge of those departments (likely antivaxxer nutjob RFK Jr. for HHS and grifter/snake oil salesman Dr. Oz for CMS) to purge their departments of career professionals and replace them with MAGA/Trump loyalists.

Even then, it's quite possible that some or even most reports will remain reasonably accurate, in some cases simply because Trump doesn't see any reason to cook those particular books; in other cases they may simply not be aware that some data is even being made publicly available.

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